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From the 6/11/2021 release of VAERS data:

This is VAERS ID 1240242



Case Details

VAERS ID: 1240242 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-04-13
Onset:2021-04-21
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: School       Purchased by: ?
Symptoms: Injection site erythema, Pruritus
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Flu shot I received two years ago. Had raised red circle at injection site immediately following shot that last 24 hours
Other Medications: Vitamin d, vitamin c, thyroid support, hormone support, probiotics, motility complex for mmc
Current Illness: None
Preexisting Conditions: Reduced immune function and poor gut health
Allergies: Sulfa,
Diagnostic Lab Data:
CDC Split Type:

Write-up: Red circle at injection site and other red circle on same arm appeared eight days after first shot. Itchy.


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1240242


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